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Discuss About The Female Infertility Characterised Embryonic.

Before the assessment, the nurse should check at the status of health of an individual. A critically ill individual requires an immediate assessment. The age factor is critical for evaluation (Ervin, & Kulbok, 2018). Additionally, the nurse should gauge the mental capacity of the patient. After the assessment, the physician should look at the differences in response between the young and old patients. Furthermore, the nurse should ask for the occupation of the patient.

The psychological factors include the: relatives and friends of the patient, nurses, and healthcare network (Ervin, & Kulbok, 2018). Mr Bott leaves alone since the wife is late and the son is away. The nurse attending to him should be competent enough to carry out final assessments. The system of healthcare needs to have an array of treatment options that the patient can decide the mode of care.

Mr Bott's temperature is 36.5º C whereas the average body temperature is 37º C (Al-Ali, Diab, Kiani, Kopotic, & Tobler, 2016). His temperature is within the normal range.

He has a rate of 120 beats per minute. The standard rate ranges from 60-100 pounds in a minute (Al-Ali et al., 2016). His records show a pulse rate that is higher than usual.

His reading is 24 beats per minute. The normal range is 12-20 beats in a minute (Al-Ali et al., 2016). Therefore, Mr Bott's respiration rates are higher than the normal.The average blood pressure ranges from 120/80 mmHg to 140/90 mmHg (Al-Ali et al., 2016). Mr Saheed has elevated blood pressure of 180/90 mmHg.

The standard rates of oxygen levels range from 70 to 100mmHg (Al-Ali et al., 2016). Mr Saheed has upper quartile oxygen saturation levels. The readings indicate 94mmHg.

I would collect the following data during my inspections:

Firstly is the conscious level of Mr Bott. I would ask him if he knows where he is and who brought him to the hospital. Furthermore, I would slowly open his eyes to examine the level of activity of the pupil. I would ask him random questions to gauge his response. Additionally,  I would slowly touch his forehead and note whether he is aware of the primary stimuli that I have generated or otherwise. I would wave my hands in front of his eyes to gauge whether he can detect my hands and what I am doing.

Neurological observation and Assessment

In the neurological assessment, I would find out which sensory organs are not functioning correctly. I would look at the exact location of the neurological problem. A good scenario is determining the part of the brain that the infection has affected (Powers et al., 2015). After gauging those areas, I would come up with appropriate diagnostic and treatment strategies. I would then screen for any signs of abnormal conditions in Mr Bott. I would then document my findings for future references. Additionally, I would test the state of his mind and look at the general nervous system. Moreover, I would gauge the strength of the muscles and look at the reflex action.

Blood pressure is high; an exercise is a good option for reducing hypertension

The temperature is average and should remain untouched.

Exercise can also normalise the respiration rate

The oxygen rate is reasonable. The rate needs maintenance

The pulse rate is higher than usual. Physical regiments lower the rate to average figures.

The nurse needs to obtain the necessary tools to carry out the emptying process. financial, the nurse opens the bag’s Clamp and cuff out its tail. Secondly, the physician transfers the components of the Colostomy bag into a clean basin or pit latrine (Ambe et al., 2018). The nurse should note down the pattern size of the stoma (Ambe et al., 2018). The nurse should trace the boundaries of the hole and carefully remove a small part to come up with an opening (Ambe et al., 2018). The next step involves the removal of backing material out of the wafer (Ambe et al., 2018). Furthermore, the nurse should get rid of the previous bag. The nurse throws away the old container. The new skin underwent inspection and washed without detergents (Ambe et al., 2018). The nurse then dries the new bag. The nurse then applies paste at the bottom of the bag (Ambe et al., 2018). Then add deodorant.  Get rid of the remaining items used during the emptying and replacing exercise.

  • Visual impairment

Loss of sight prevents an individual from moving from one place to the other. One cause of sight loss is the stroke. The onset of stroke restricts blood flow to the brain (Balasubramanian, Melendez-Calderon, Roby-Brami, & Burdet, 2015). Therefore, the CNS cannot receive the necessary nutrients to perform its functions. Moreover, the brain lacks oxygen to carry out its metabolic activities (Balasubramanian et al., 2015). Therefore, the CNS is unable to coordinate vision. An individual who cannot see properly cannot move from one place to the other.

  • Hip fracture

Steps in emptying and changing the Colostomy bag

The fracture occurs as a result of accidents. When the hip damages, the legs lose the ability to stand still and support the body mass, therefore one cannot maintain balance (Balasubramanian et al., 2015). Such an individual cannot move from one place to the other.

  • Dementia

The disorder refers to the impairment of an individual’s integration capabilities (Balasubramanian et al., 2015). Dementia occurs as a result of neuronal abnormalities (Balasubramanian et al., 2015). Such an individual loses the ability to balance the body and cannot move freely.

The engine is used to assess the progress of stroke patients in rehabilitation centres. The tool development aligns with the new technology, and it is easy to use (Balasubramanian et al., 2015). Furthermore, it has an elaborate description of how to use it (Balasubramanian et al., 2015). The specification includes the review of the machine, a table of summary, and the properties of the Engine (Balasubramanian et al., 2015).

Before, the nurse can help Mr Bott in movement; they should wash their hands first. Proper hygiene is essential in handling patients to avoid contaminations which would result in a new disease (Balasubramanian et al., 2015). The nurse should learn all the precautions in the patient’s room. Additionally, the nurse should take care not to break any rules. The nurse should then conduct an introductory session between Mr Bott and themselves. A lively introduction forms the basis of therapeutic interaction. Moreover, the presentation is in line with the principles of person-centred care.

The nurse should respect the demands of the patient. They should move patients to the directions that Mr Bott requests and at his preferred speed.  The nurse should adequately arrange the room before mobilisation (Balasubramanian et al., 2015). The physician should ensure that the place is spacious. Moreover, the nurse should remove any destructing objects from the way. The nurse should offer energy foods to the patient before mobilising him.

Mr Bott should take a lot of liquids. But since people with conditions such as his may find difficulties in swallowing, the nurse can suggest for liquids with a thicker profile. Thin profiled liquids such as water and fruit juice may pose a challenge during swallowing (Beck, Kjaersgaard, Hansen, & Poulsen, 2017). Dysphagia patients cannot readily consume food rich in calories (Beck et al., 2017). The nutritionists should perform calorie fortification with proteins to ease swallowing by Mr Bott. The patients should consume more of soft foods (Beck et al., 2017). Any hard foods such as meat should undergo pondering to improve the chances of the patient to swallow them.

Factors associated with immobility

The nurse should provide Mr Bott with food that the patient chooses. The meal should be full of nutrients and trigger the appetite of Mr Bott. In case the patient finds difficulty in feeding themselves, the nurse should provide the necessary assistance (Alagiakrishnan, Fisher, & Kurian, 2015). The nurse should only offer thick liquids since the thin ones give dysphagia patients a problem during swallowing(Alagiakrishnan, Fisher, & Kurian, 2015). The physician should provide food that follows a particular order. The nutritionist should ensure that the patient feeds on fortified and well-pounded foods (Alagiakrishnan, Fisher, & Kurian, 2015). A dysphagic patient should follow a strict timetable during feeding.

The first step is to screen the damage and identify the causes and possible consequences of the wound.  Secondly, the nurse should consult both the patients and the family members on reasonable treatment procedures (Qaseem, Mir, Starkey, & Denberg, 2015). Additionally, the physician should come up with an appropriate healthcare plan. The treatment plan should focus on the patient and also lack side effects (Qaseem et al., 2015).  Moreover, the health facility should only allow experts to do management. The nurse should consider the views of the patient before the onset of the care. The health organisation should provide nurses with the necessary equipment to manage the injuries.

The difficulty in movement-patients who cannot change locations can easily be affected by the pain ulcers (de Carvalho et al., 2016).  The patient who eats unbalanced diet is at risk of getting pressure ulcers than those who eat a balanced diet (de Carvalho et al., 2016). Moreover, patients who have a problem with the flow of blood can develop pressure diseases (de Carvalho et al., 2016). The disruption of the flow of blood leads to arterial complications.

The nurses should aid Mr Bott in the movement from one place to the other to prevent him from falling (Tanwar, Kundu, & Vashisht, 2016). Furthermore, the physician should ensure that Bott consumes a balanced diet (Tanwar, Kundu, & Vashisht, 2016). The doctors should check to regulate the blood flow. If the movement of blood is abnormal, it needs urgent rectification (Tanwar, Kundu, & Vashisht, 2016).

The treatment and management of pressure should assume a collaborative approach. The patient’s view on the best treatment option should take centre stage (Boyko, Longaker, & Yang, 2018). As I nurse, I need to consult with my fellow professionals to come up with the best ways of managing the condition. Nurses who are unsure of the treatment options should opt for evidence-based research using the available e-sources (Boyko, Longaker, & Yang, 2018). The parent health organisation also has a pivot role to play. The health facility should avail the necessary resources for the treatment and management of pressure injuries (Boyko, Longaker, & Yang, 2018). Additionally, the parent hospital should hire the services of a translator when necessary.

Problem

Strategy/Solution

Poor diet

Improving diet to accommodate all food components

Disruption in the flow of blood

Implementation of corrective measures to restore the normal blood flow

Difficulty in walking

Provision of walking aids

Helping Mr Bott in moving from one place to the other.

Proper lighting of the hospital corridors.

The Stroke Engine

The nurse should discharge the patients when their conditions have improved. Mr Bott should free himself when he can walk freely. Additionally, the patient should contribute to the option of their discharge (Morton, Fontaine, Hudak, & Gallo, 2017). A patient who says that they are still unwell should stay longer in the hospital. However, a patient who is on their path to recovery should attain a discharge. Before the release, the hospital administration should have a say (Morton et al., 2017). Moreover, the family members should ascertain whether the patient is fit enough for discharge. The community should support Mr Bott by aiding him in walking before he can entirely walk on his own.

Overstay in hospital leads to muscle problems. An individual's body gains a prolonged stay hence weakens thereby finding difficulties in doing daily chores (Abetz, Adams, Newnham, Smit, & Mitra, 2017). Secondly, the patient can develop sores at some body parts which are experiencing pressure when an individual lies down (Abetz et al., 2017). Moreover, the patient gets depressed due to loneliness and inability to carry out their chores (Abetz et al., 2017).

  • Whether the resources needed are ready

Before I start to attend to Mr Bott, I should ensure that all treatment items are in place. The necessary equipment is necessary to carry out substantial medical attention (Abetz et al., 2017).

  • Availability of treatment manuals

The treatment guidelines should be ready. In case of the unclear mode of treatment, the manuals should guide the nurse. The physician should explain the various treatment options to the patient and let them chose one (Abetz et al., 2017).

  • Evidence-based care is necessary

The treatment tailored towards Mr Bott should relate to current research findings. The methodology should have supporting literature from globally accepted scientists (Abetz et al., 2017).

  • Availability of other colleagues

I should ensure that at least two colleagues are available for consultations. If the nurse forgets a critical treatment step, the workmates become handy (Abetz et al., 2017).

  • Availability of Mr Bott's family members

His wife is late, and the son is far from him. The family members should be close to assist him in making decisions (Abetz et al., 2017).

  • Mr Bott's opinion

The stand of a patient is essential during treatment. I would allow him to choose the treatment option that suits his preferences. By so doing, I am ensuring person-centred care (Abetz et al., 2017).

when the patient refuses to get treatment, there are a majority of legal concerns that exist. In most European countries, the patient has the right to refuse treatment. The nurse must respect the autonomy of the patient(Crane, 2018). Such individual should assess palliative health care procedures (Crane, 2018).

Factors to consider before assisting Mr Bott to move around

The health facility should help the patient to reach out to the family members to spend his last moments before death. However, the physician can convince the patient to reverse their decision. The clinicians should give hope to patients who are hopeless. Additionally, family members should surround a patient to provide them with valuable advice concerning care (Crane, 2018).

The patient should appoint both the enduring guardian and the attorney in case they lose the ability to reason.

The enduring guardian has the responsibility to decide the fate of that patient well in good time (Crane, 2018). The attorney can use their constitutional power to aid in end-of-life decision-making process (Crane, 2018). A patient who is bedridden and is not responding to treatment is free to terminate treatment. An individual who opts for that should do it. The nurses and the health fraternity should morally support the family members of the patient (Crane, 2018). Additionally, nurses are not allowed to take part in the suicidal death of patients.

The new standards require all nursing students from the university to gain registration from the body (Cashin et al., 2015). The nurse must practice by ethical and professional conducts (Cashin et al., 2015).  The new rules enable nurses to offer high-quality care.

The standards dictate that a patient who is critically ill should receive argent and quality care (Cashin et al., 2015). Every patient has the right to care, regardless of the time they visit the health facility.

The nurse should ask for the appropriate recording sheet from the health facility (Cashin et al., 2015). Additionally, the nurse should consult widely to ensure that she records the right information.

Assessment

Nursing problem

Goals

Intervention

Evaluation

Decreased mobility

Unbalanced diet

Within a month

Provision of a balanced diet

The health facility is to place Mr Bott in a balanced diet for a month

Mr Bott should improve his movement capacity after a month

Poor blood flow

Radioactivity scanning of vessels to rectify any defections in the blood channels

Takes one week of surveillance and the other week for defect correction

The blood flow should return to normal after the third week

Broken hip bones

Scan and rectify the fracture

Takes six months to a year to scan and mend a broken bone

Mr Bott should be walking unaided after six months

Ella is in the age of going to school which begins from age 5 to 11 years old (Smith, Cowie, & Blades, 2015). In this stage, children migrate from mid-childhood into the onset of puberty (Smith, Cowie, & Blades, 2015). Children at this point are inquisitive and ready to learn. Additionally, they explore a lot and are highly active. They learn new things and are very experimental in their excursions (Smith, Cowie, & Blades, 2015). Cerebral palsy inhibits the growth and development of these children due to their fresh tissues. The cells are dividing actively hence can quickly acquire a new disease (Smith, Cowie, & Blades, 2015). The stage of development should receive a close monitor to control.

Malnutrition

Gastrointestinal infections

Bladder abnormalities

Food suggestions for patients with Dysphagia

Food drooling

Adolescence

Sleeping abnormalities (Samdani et al., 2016)

(b) Accuracy

Determination

Consistency

Keenness

(c) Assessing the state of the patient helps the nurse to gauge the intensity of the disease

 Diagnosis procedure follows where physicians determine the nature of patient's problem

 The physician then measures the result of the tests

The clinician develops a treatment plan

The health facility implements the plan

Finally, the doctor assesses the treatment response of the patient (Ruskin et al., 2014)

I would advise Ella to be keen on the diet. The mother needs encouragement to prepare a balanced diet. An unbalanced diet interferes with proper growth and development (Song, & Lindquist, 2015). Therefore, Ella should take more than three meals in a day. Moreover, she should observe eight hours of sleep on a daily basis (Song, & Lindquist, 2015). Conditions of under sleeping and oversleeping lead to stress. Ella should engage in a regular physical regiment. Exercise aids in the metabolic activities are hence improving growth rates (Song, & Lindquist, 2015). She should regulate her pulse rate. Additionally, Ella spares some time for leisure. Consistent work without rest causes distress (Song, & Lindquist, 2015).  Ella should change her reading habits to factor in the free time. The continuous study is distressful.

The approach pegs on natural means of treatment. Wellness approach does not require drugs to cure a disease (Lewallen, Hunt, Potts?Datema, Zaza, & Giles, 2015).  The plan gets rid of any disruptions to right living conditions. The approach relies on lifestyle alterations to treat a disease (Lewallen et al., 2015). If stress is one condition that is causing the cerebral palsy, then Ella should change her lifestyle to minimise the situation. Additionally, she should regulate her hours of sleep to stay stress-free. Moreover, Ella should start taking a balanced diet to enhance her growth and development. Regular exercise aids in metabolism are therefore improving growth.

All Australian children should assess the quality and affordable healthcare. The hospital should respect the treatment suggestions of the parents and the children undergoing treatment (Wakerman et al., 2017). Additionally, Ella’s family should provide every support that she requires during the treatment period. Moreover, the family health care plan should improve the partnership between the patient and the physician (Wakerman et al., 2017).

Increased respiratory rates and reduced oxygen intake results from numerous conditions. Infections of the lungs can cause the reduction in the oxygen uptake (Wakerman et al., 2017). Therefore, Ella might be suffering from diseases such as bronchitis. The increase in breathing rates results from asthmatic conditions and related infections. Thus, Ella might have Asthma

Alcoholism

Depression

Overweight

  1. Effects of Infertility

Sandra is likely to observe the loss of hair. Additionally, she vomits and loses appetite. Moreover, she experiences numerous headaches (Xu et al., 2016). Sandra observes a reduction in her breast size (Xu et al., 2016)

Infertile women are stressed most of the times. The lady suffers from the backlash from the society. Infertility instils frustration on the affected women. Those who cannot conceive are always in a pensive mood and are separate from the rest (Xu et al., 2016). The husbands at times chase away the barren lady and marry another one. Families without parents experience an elevated amount of domestic conflicts. Additionally, both men and women live in fear of the reactions of the community.

I would explain to Sandra that her son is in adolescent hence can easily get moody. Additionally, I would let her know of the physical and behavioural changes that accompany the puberty stage.  The mood swing is normal for adolescent males as their testosterone further develop. During the phase of growth and development, male children establish sexual attraction towards the females (Anderson, Steen, & Stavropoulos, 2017). Therefore, Sandra should let her son associate with members of the opposite sex freely. She should expect the deepening of the son's voice. Additionally, the boy's eating habits must change. He is likely to eat more food than before.  I would advise Sandra to expect rudeness from the son at some point. Adolescence is a challenging stage that requires patience from the parent.

Sandra’s son resembles her due to the phylogenic relationship between the parent and son.  In the science of inheritance, the male child resembles the mother while the females resemble the father (Pingault et al., 2015). The explanation explains why the Son resembles the mother and not the father. During sex intercourse between a man and a woman, the [XX] chromosomes mixes with the male ones [XY] to yield [XY] for men (Pingault et al., 2015). There result of the combination results into the boy. The X from the mother predominates that from the father (Pingault et al., 2015). Thus, the son resembles the mother than the father. Therefore, the genetic resemblance translates into the similarities in the phenotypic characteristics between the two sets of individuals (Pingault et al., 2015). 

References

Abetz, J. W., Adams, N. G., Newnham, H., Smit, D. V., & Mitra, B. (2017). Transfer of care and overstay in the management of cellulitis in the emergency short stay unit: A retrospective cohort study. Emergency Medicine Australasia, 29(2), 143-148.

Alagiakrishnan, K., Fisher, C., & Kurian, M. (2015). Mealtime challenges and swallowing difficulties in elderly dementia patients. In Diet and Nutrition in Dementia and Cognitive Decline (pp. 1149-1158).

Al-Ali, A., Diab, M. K., Kiani, M. E., Kopotic, R. J., & Tobler, D. (2016). U.S. Patent No. 9,492,110. Washington, DC: U.S. Patent and Trademark Office.

Ambe, P. C., Kurz, N. R., Nitschke, C., Odeh, S. F., Möslein, G., & Zirngibl, H. (2018). Intestinal Ostomy: Classification, Indications, Ostomy Care and Complication Management. Deutsches Ärzteblatt International, 115(11), 182.

Anderson, E. L., Steen, E., & Stavropoulos, V. (2017). Internet use and Problematic Internet Use: A systematic review of longitudinal research trends in adolescence and emergent adulthood. International Journal of Adolescence and Youth, 22(4), 430-454.

Balasubramanian, S., Melendez-Calderon, A., Roby-Brami, A., & Burdet, E. (2015). On the analysis of movement smoothness. Journal of neuroengineering and rehabilitation, 12(1), 112.

Beck, A. M., Kjaersgaard, A., Hansen, T., & Poulsen, I. (2017). Systematic review and evidence-based recommendations on texture modified foods and thickened liquids for adults (above 17 years) with oropharyngeal dysphagia–An updated clinical guideline. Clinical Nutrition.

Boyko, T. V., Longaker, M. T., & Yang, G. P. (2018). Review of the current management of pressure ulcers. Advances in wound care, 7(2), 57-67.

Cashin, A., Buckley, T., Donoghue, J., Heartfield, M., Bryce, J., Cox, D., ... & Dunn, S. V. (2015). Development of the nurse practitioner standards for practice Australia. Policy, Politics, & Nursing Practice, 16(1-2), 27-37.

Cereda, E., Klersy, C., Serioli, M., Crespi, A., & D'andrea, F. (2015). A nutritional formula enriched with arginine, zinc, and antioxidants for the healing of pressure ulcers: a randomised trial. Annals of internal medicine, 162(3), 167-174.

Crane, D. (2018). The sanctity of social life: physicians treatment of critically ill patients. Routledge.

de Carvalho, F. P. B., Simpson, C. A., de Oliveira, L. C., Soares, F. R. R., dos Santos Silva, G. W., de Sena, R. C. F., ... & de Miranda, F. A. N. (2016). Pressure Injuries: Predisposing Conditions and Risk Factors in Adult ICU. International Archives of Medicine, 9.

Ervin, N. E., & Kulbok, P. (2018). Advanced Public and Community Health Nursing Practice 2e: Population Assessment, Program Planning and Evaluation. Springer Publishing Company.

Lewallen, T. C., Hunt, H., Potts?Datema, W., Zaza, S., & Giles, W. (2015). The Whole School, Whole Community, Whole Child model: a new approach for improving educational attainment and healthy development for students. Journal of School Health, 85(11), 729-739.

Morton, P. G., Fontaine, D., Hudak, C. M., & Gallo, B. M. (2017). Critical care nursing: a holistic approach (p. 1056). Lippincott Williams & Wilkins.

Pingault, J. B., Viding, E., Galéra, C., Greven, C. U., Zheng, Y., Plomin, R., & Rijsdijk, F. (2015). Genetic and environmental influences on the developmental course of attention-deficit/hyperactivity disorder symptoms from childhood to adolescence. JAMA Psychiatry, 72(7), 651-658.

Powers, W. J., Derdeyn, C. P., Biller, J., Coffey, C. S., Hoh, B. L., Jauch, E. C., ... & Meschia, J. F. (2015). 2015 American Heart Association/American Stroke Association focused update of the 2013 guidelines for the early management of patients with acute ischemic stroke regarding endovascular treatment: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 46(10), 3020-3035.

Qaseem, A., Mir, T. P., Starkey, M., & Denberg, T. D. (2015). Risk assessment and prevention of pressure ulcers: a clinical practice guideline from the American College of Physicians. Annals of internal medicine, 162(5), 359-369.

Ruskin, D., Lalloo, C., Amaria, K., Stinson, J. N., Kewley, E., Campbell, F., ... & McGrath, P. A. (2014). Assessing pain intensity in children with chronic pain: convergent and discriminant validity of the 0 to 10 numerical rating scale in clinical practice. Pain Research and Management , 19(3), 141-148.

Samdani, A. F., Belin, E. J., Bennett, J. T., Miyanji, F., Pahys, J. M., Shah, S. A., ... & Sponseller, P. D. (2016). Major perioperative complications after spine surgery in patients with cerebral palsy: assessment of risk factors. European Spine Journal, 25(3), 795-800.

Smith, P. K., Cowie, H., & Blades, M. (2015). Understanding children's development. John Wiley & Sons.

Song, Y., & Lindquist, R. (2015). Effects of mindfulness-based stress reduction on depression, anxiety, stress and mindfulness in Korean nursing students. Nurse education today, 35(1), 86-90.

Tanwar, M., Kundu, Z. S., & Vashisht, G. (2016). Impact of Educating the patients and attendants on prevention of pressure sores in people with paraplegia. Orthopaedic Journal of MP Chapter, 22(1).

Wakerman, J., Humphreys, J., Wells, R., Kuipers, P., Entwistle, P., & Jones, J. (2017). A systematic review of primary health care delivery models in rural and remote Australia 1993-2006.

Xu, Y., Shi, Y., Fu, J., Yu, M., Feng, R., Sang, Q., ... & Yan, Z. (2016). Mutations in PADI6 cause female infertility characterised by early embryonic arrest. The American Journal of Human Genetics, 99(3), 744-752.

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